Thoracic (Chest) Surgery
Thoracic surgery refers to any type of surgery performed on organs and tissues in your chest cavity, such as your lungs. When medication or other treatments are not effective, your doctor may recommend surgery.
Thoracic surgery can be performed using open surgery or minimally invasive surgery.
With traditional open surgery, doctors make a long chest incision, known as thoracotomy. In some cases, the surgeon may have to cut through your breastbone and spread your ribs. The incision and opening must be large enough for your surgeon to fit his/her hands and instruments inside your chest.
Minimally Invasive Surgery
With thoracoscopy (also called video-assisted thoracic surgery or VATS), doctors insert a tiny camera (thoracoscope) and surgical instruments into your chest through small incisions. The camera takes images inside your body and sends them to a video monitor in the operating room to guide surgeons as they operate.
da Vinci® Surgery
Another minimally invasive surgical option is da Vinci Surgery. Surgeons make a few small incisions instead of a large chest incision. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your doctor to operate with enhanced vision, precision, dexterity and control.
da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
- Learn more about da Vinci Lobectomy
The friable nature of pulmonary tissue enhances the risk of vascular, bronchiolar, or other injury that will be difficult to control when using this device. Published clinical experience, as well as clinical studies performed to support this marketing clearance have demonstrated that even surgeons considered expert in laparoscopy/thoracoscopy have substantial learning curves of 10 to 12 cases.
All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to other surgical techniques; the need for additional or larger incision sites; a longer operation or longer time under anesthesia than your surgeon originally predicts. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php
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